Dementia

About the authors; Abbreviations SECTION 1: Introduction 1. Introduction to the book Amy Pepper 2. What is dementia? Karen Harrison Dening      2.1 Introduction      2.2 Causes of dementia      2.3 Symptoms of dementia      2.4 Alzheimer's disease      2.5 Vascular dementia      2.6 Dementia with Lewy bodies      2.7 Frontotemporal dementia      2.8 Risk factors for dementia 3. Person-centred care and dementia Amy Pepper      3.1 Person-centred care and dementia      3.2 Criticisms of the model      3.3 So what is person-centred care?      3.4 The importance of knowing the person      3.5 Positive person work and malignant social psychology      3.6 From person-centred to relationship-centred: evolving models of care SECTION 2: The dementia care pathway 4. Diagnosis of dementia Karen Harrison Dening      4.1 Introduction      4.2 Ruling out conditions that can mimic dementia      4.3 Mild cognitive impairment      4.4 Why diagnose dementia?      4.5 What does an assessment for dementia involve?      4.6 Giving a diagnosis of dementia      4.7 Prognosis of dementia 5. Medications used in dementia and their management Karen Harrison Dening      5.1 Introduction      5.2 Treatment of the cognitive symptoms of dementia      5.3 Using AChEIs in clinical practice      5.4 Risks and benefits      5.5 Treatment of the non-cognitive symptoms of dementia      5.6 Treatment of other medical conditions that occur alongside dementia 6. Post-diagnostic support for people with dementia and their carers Amy Pepper      6.1 Introduction      6.2 What does good post-diagnostic support look like?      6.3 Understanding and managing dementia      6.4 Psychological and emotional wellbeing      6.5 Practical support      6.6 Planning for the future 7. Assessment for care and support Amy Pepper      7.1 Social care      7.2 The Care Act and the role of the local authority      7.3 The assessment process      7.4 The eligibility criteria      7.5 The financial assessment      7.6 Support for 'self-funders'      7.7 The carer's assessment      7.8 Types of care      7.9 NHS continuing healthcare      7.10 The experience of navigating the care and support system      7.11 Differences in social care in other areas of the UK 8. End-of-life care and dementia Emma Wolverson      8.1 Introduction      8.2 The importance of early conversations about dying      8.3 Recognising end-of-life signs      8.4 Best practice in end-of-life care for people with dementia and their families      8.5 Caring for the person in the final days      8.6 Bereavement support SECTION 3: Common issues in dementia care 9. Communication and dementia Amy Pepper      9.1 Introduction      9.2 Communication and the brain      9.3 Verbal and non-verbal communication      9.4 Difficulties with communication in dementia      9.5 Person-centred care and communication      9.6 Things to think about when we are communicating with someone with dementia      9.7 The VERA framework      9.8 Communication and family carers 10. Capacity and decision-making in dementia Karen Harrison Dening      10.1 Introduction      10.2 Decision-making      10.3 Decision-making capacity      10.4 What we mean by the terms capacity and competency      10.5 Mental Capacity Act 2005      10.6 Fluctuations in capacity      10.7 Best interests decisions      10.8 Shared decision-making      10.9 Lasting powers of attorney      10.10 Deputyship 11. Risk and dementia Amy Pepper      11.1 Introduction      11.2 What is risk?      11.3 Risks in dementia      11.4 Risk enablement      11.5 A risk assessment and management framework      11.6 Risk management      11.7 Safeguarding 12. Distress in dementia Emma Wolverson      12.1 Introduction      12.2 What do we mean by distress?      12.3 Distressed behaviours      12.4 The language used to talk about distressed behaviours      12.5 What do we mean by unmet needs?      12.6 What causes distress in people with dementia?      12.7 Assessment      12.8 Non-pharmacological approaches      12.9 The impact of distress on staff 13. Delirium and dementia Karen Harrison Dening      13.1 Introduction      13.2 What is delirium?      13.3 Types of delirium      13.4 Supporting people with delirium and dementia      13.5 Delirium and dementia      13.6 How do we diagnose delirium? 14. Dementia and other health conditions Karen Harrison Dening      14.1 Introduction      14.2 What do we mean by comorbidity and multimorbidity?      14.3 Comorbidities and dementia      14.4 Diagnostic overshadowing      14.5 Frailty      14.6 Management of comorbidities in dementia      14.7 Cancer      14.8 Pain      14.9 Sensory impairments      14.10 Mental health and dementia      14.11 Depression and anxiety 15. Supporting family carers Tia Cheung-Cook      15.1 Introduction: families and dementia      15.2 Carers      15.3 What types of support do family carers give?      15.4 The impact of caring for someone with dementia      15.5 Supporting carers 16. Ethical issues in dementia care Amy Pepper      16.1 Introduction      16.2 What do we mean by ethics and ethical practice?      16.3 Ethical frameworks      16.4 Therapeutic lying      16.5 The use of assistive technology      16.6 Sexuality and dementia 17. Dementia policy and guidance Karen Harrison Dening      17.1 Introduction      17.2 Historical roots to present policy      17.3 The drive for reducing the risk of a person developing dementia      17.4 Dementia care policy and guidance – a brief history      17.5 Dementia – the 'well' pathway      17.6 Dementia policy in the future 18. Research and people with dementia Emma Wolverson      18.1 Introduction      18.2 The importance of healthcare research      18.3 The research landscape in dementia      18.4 Priorities for dementia research      18.5 Why does research matter to people with dementia?      18.6 The rold of staff in supporting research in dementia      18.7 Where to signpost people to      18.8 Getting involved in research 19. Future challenges in dementia care Madeleine Walpert      19.1 Introduction      19.2 The rising prevalence of dementia      19.3 Disease-modifying treatments      19.4 Future of diagnosis      19.5 Inequalities      19.6 Technology and digital health advancements      19.7 Changes in healthcare delivery and models Index